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http://dx.doi.org/10.5223/pghn.2014.17.2.112

Duodenal Perforation: Unusual Complication of Gastrostomy Tube Replacement  

Kim, Soo-Hong (Department of Pediatric Surgery, Pusan National University Children's Hospital)
Min, Sa-Hong (Department of Pediatric Surgery, Seoul National University Children's Hospital)
Kim, Hyun-Young (Department of Pediatric Surgery, Seoul National University Children's Hospital)
Jung, Sung-Eun (Department of Pediatric Surgery, Seoul National University Children's Hospital)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.17, no.2, 2014 , pp. 112-115 More about this Journal
Abstract
Feeding gastrostomy is widely used for children with feeding impairment. The replacement of gastrostomy tube is known as an easy and safe procedure. However, various complications associated with replacement of gastrostomy tube were reported, including fistula disruption and colo-cutaneous fistula. For replacement of gastrostomy tube in small children with small stomach, special cautions are needed. Here, we report a rare case of duodenal perforation as an acute complication after the replacement of gastrostomy tube for a 33-month-old girl.
Keywords
Gastrostomy; Replacement; Duodenal perforation; Child;
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1 Fascetti-Leon F, Gamba P, Dall'Oglio L, Pane A, de Angelis GL, Bizzarri B, et al. Complications of percutaneous endoscopic gastrostomy in children: results of an Italian multicenter observational study. Dig Liver Dis 2012;44:655-9.   DOI
2 Showalter CD, Kerrey B, Spellman-Kennebeck S, Timm N. Gastrostomy tube replacement in a pediatric ED: frequency of complications and impact of confirmatory imaging. Am J Emerg Med 2012;30:1501-6.   DOI
3 Imamura H, Konagaya T, Hashimoto T, Kasugai K. Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tube. World J Gastroenterol 2007;13:5285-7.   DOI
4 Moriwaki Y, Arata S, Tahara Y, Toyoda H, Kosuge T, Suzuki N. Duodenal perforation due to compression necrosis by the tip of percutaneous endoscopic gastrostomy tube. Nutrition 2011;27:979-81.   DOI
5 Schrag SP, Sharma R, Jaik NP, Seamon MJ, Lukaszczyk JJ, Martin ND, et al. Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis 2007;16:407-18.
6 Bustorff-Silva J, Perez CA, Fonkalsrud EW, Hoh C, Raybould HE. Gastric emptying after fundoplication is dependent on changes in gastric volume and compliance. J Pediatr Surg 1999;34:1232-5.   DOI
7 Dar AQ, Shah ZA. Anesthesia and sedation in pediatric gastrointestinal endoscopic procedures: a review. World J Gastrointest Endosc 2010;2:257-62.   DOI
8 Lee MC. Sedation for pediatric endoscopy. Pediatr Gastroenterol Hepatol Nutr 2014;17:6-12.   DOI
9 Nishiwaki S, Araki H, Fang JC, Hayashi M, Takada J, Iwashita M, et al. Retrospective analyses of complications associated with transcutaneous replacement of percutaneous gastrostomy and jejunostomy feeding devices. Gastrointest Endosc 2011;74:784-91.   DOI
10 Taheri MR, Singh H, Duerksen DR. Peritonitis after gastrostomy tube replacement: a case series and review of literature. JPEN J Parenter Enteral Nutr 2011;35:56-60.   DOI